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Home Research Research Library Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement Primary Care Practices’ Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement 2018 Author(s) Cohen, Deborah J, Dorr, D A, Knierim, K, DuBard, C Annette, Hemler, J R, Hall, J D, Marino, Miguel, Solberg, Leif I, McConnell, K J, Nichols, L M, Nease, D E, Edwards, S T, Wu, W Y, Pham-Singer, H, Kho, A N, Phillips, Robert L, Rasmussen, L V, Duffy, F D, and Balasubramanian, Bijal A Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), Measurement, Payment, and Quality Of Care Volume Health Affairs Source Health Affairs Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires the use of a federally certified EHR, was associated with the ability to generate reports-but the reports did not necessarily support quality improvement initiatives. Practices reported numerous challenges in generating adequate reports, such as difficulty manipulating and aligning measurement time frames with quality improvement needs, lack of functionality for generating reports on electronic clinical quality measures at different levels, discordance between clinical guidelines and measures available in reports, questionable data quality, and vendors that were unreceptive to changing EHR configuration beyond federal requirements. The current state of EHR measurement functionality may be insufficient to support federal initiatives that tie payment to clinical quality measures. Read More ABFM Research Read all 2013 Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery Go to Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery 2024 Certifying Boards Can Provide Knowledge that Shapes Policy Go to Certifying Boards Can Provide Knowledge that Shapes Policy 2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children 2021 Family Physician Burnout Does Not Differ With Rurality Go to Family Physician Burnout Does Not Differ With Rurality
Author(s) Cohen, Deborah J, Dorr, D A, Knierim, K, DuBard, C Annette, Hemler, J R, Hall, J D, Marino, Miguel, Solberg, Leif I, McConnell, K J, Nichols, L M, Nease, D E, Edwards, S T, Wu, W Y, Pham-Singer, H, Kho, A N, Phillips, Robert L, Rasmussen, L V, Duffy, F D, and Balasubramanian, Bijal A Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), Measurement, Payment, and Quality Of Care Volume Health Affairs Source Health Affairs
ABFM Research Read all 2013 Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery Go to Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery 2024 Certifying Boards Can Provide Knowledge that Shapes Policy Go to Certifying Boards Can Provide Knowledge that Shapes Policy 2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children 2021 Family Physician Burnout Does Not Differ With Rurality Go to Family Physician Burnout Does Not Differ With Rurality
2013 Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery Go to Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery
2024 Certifying Boards Can Provide Knowledge that Shapes Policy Go to Certifying Boards Can Provide Knowledge that Shapes Policy
2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children
2021 Family Physician Burnout Does Not Differ With Rurality Go to Family Physician Burnout Does Not Differ With Rurality